Alapont Pérez F M, Gálvez Calderón J, Varea Herrero J, Colome Borros G, Olaso Oltra A, Sánchez Bisono J R
Servicio de Urología, Hospital de Hellín, Hellín, Albacete.
Actas Urol Esp. 2001 May;25(5):341-9. doi: 10.1016/s0210-4806(01)72629-0.
An epidemiological study of urinary stone disease has been carried out in the districts of La Sierra and Hellín (Albacete, Spain). Between January 1992 and December 1999 a total of 887 patients with urinary lithiasis have been studied, analysing the number of patients discharged from hospital with the primary diagnosis of lithiasis, the distribution of lithiasis by area, age, gender, family history of lithiasis, diet, occupation and concurrent pathology. The geographical, geological, and climatic conditions, the composition of the water supply and the clinical characteristics are described. The incidence of urinary lithiasis in the whole area in 2.66 per thousand inhabitants/year, showing a male predominance with a male:female ratio of 1.26:1. The mean age was 51.34 years (bimodal distribution with peaks in the 4th and 7th decades). 20.41% of the patients had a family history, with the father being the most frequently affected relation. Those occupations associated with a sedentary life style or with a hot, dry workplace show a higher incidence of lithiasis. A hot, dry climate favours the formation of urinary lithiasis and the highest incidence of lithiasis is in the summer, during the months of July and August. No statistically significant influence was shown between at the hardness of the water and the incidence of urinary lithiasis in the study population.
在西班牙阿尔瓦塞特省的拉谢拉和埃林地区开展了一项尿路结石病的流行病学研究。1992年1月至1999年12月期间，共研究了887例尿路结石患者，分析了以结石病为主要诊断出院的患者数量、结石病按地区、年龄、性别、结石病家族史、饮食、职业和并发疾病的分布情况。描述了地理、地质和气候条件、供水成分以及临床特征。该地区尿路结石的发病率为每千名居民每年2.66例，男性占主导，男女比例为1.26:1。平均年龄为51.34岁（呈双峰分布，高峰出现在第4和第7个十年）。20.41%的患者有家族史，父亲是受影响最频繁的亲属关系。与久坐生活方式或炎热干燥工作场所相关的职业，结石病发病率较高。炎热干燥的气候有利于尿路结石的形成，结石病发病率最高的是在夏季的7月和8月。在研究人群中，水的硬度与尿路结石发病率之间未显示出统计学上的显著影响。
